| NPI | 1932194198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 239233) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2018-02-15 |